Individual provider · Type 1 NPI

Anita Jensen

Addiction (Substance Use Disorder) Counselor · Portland, OR

NPI number 1396347431 Active

Practice location

7916 SE Foster Rd Ste 201
Portland, OR 97206-4289

Mailing address

PO Box 16576
Portland, OR 97292-0576

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist 175T00000XTHW000104311
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

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About NPI 1396347431

Anita Jensen's National Provider Identifier is 1396347431, issued on Nov 13, 2020. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Portland, OR. The record was last updated on Nov 14, 2022.